CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97112
Insurance Median: $54
Cash Discount Price: $106
vs. Medicare Baseline: 1.65x Medicare

The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Crystal Clinic Orthopaedic Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 1.65x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$106

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)

Cash / Self-Pay: $106 (324%)

Insurance Median: $54 (165%)

Cash: $106 (324% of Medicare)

Ins. Median: $54 (165% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aultcare - All Plans	$22 - $74	67%
Bc Blue Access	$26 - $442	79%
Bc Ohi/Ohii	$26 - $398	79%
Bc Pathway	$26 - $290	79%
Bc Preferred	$26 - $442	79%
Bc Trad - All Other Plans	$26 - $442	79%
Health Oh Network - All Plans	$30 - $139	92%
Ohio Health Choice - All Plans	$30 - $139	92%
Bc Mcr Adv	$31	95%
Summacare Mcr Adv	$31	95%
UnitedHealthcare	$31 - $488	95%
Multiplan - All Plans	$33 - $153	101%
Summacare Comm - All Other Plans	$34 - $429	104%
Cigna	$41 - $125	125%
The Health Plan - All Plans	$41 - $63	125%
Healthsmart - All Plans	$42 - $197	128%
Med Mutual Nas	$46 - $145	141%
Med Mutual Medflex	$434	1326%
Med Mutual Aca	$494	1509%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$543	1659%
Aetna	$550	1680%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $106.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97112.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Crystal Clinic Orthopaedic Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97112.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.